Independent diagnostic radiology in Southland and Central Otagooffice@southernultrasound.co.nz  ·  Invercargill 03 218 3005  ·  Wanaka 03 265 3112

Ultrasound referral

Online ultrasound referral.

For health professional referrals to Southern Ultrasound in Invercargill or Wanaka, including general, obstetric, musculoskeletal and vascular ultrasound.

Referral details

Ultrasound referral form.

Use this form for ultrasound referrals, including patient details, ultrasound required, clinical information, ACC number, referrer details and pregnancy scan clinical codes.

Referrers only: Ultrasound referrals must be submitted by a health professional. Patients cannot self-refer for ultrasound.
Clinics: 135 Don Street, Invercargill and 24 Dungarvon Street, Wanaka. For urgent bookings, please phone the clinic directly.

Ultrasound referral form

Referrers only. Ultrasound referrals must be submitted by a health professional. Patients cannot self-refer for ultrasound.

Patient details
Ultrasound required
Pregnancy scans, if applicable

Clinical codes - as per Section 88.

Appointment and referrer details
Attachments

Accepted file types: PDF, JPG, PNG, HEIC. Maximum file size: 15MB.

Download printable PDF

Need to book or ask about a scan?

Contact the clinic team with your referral details and they will confirm appointment availability, preparation and likely costs.

Contact Southern Ultrasound